Provider Demographics
NPI:1932129392
Name:CARDIOLOGY ASSOCIATES OF FORT LAUDERDALE PA
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF FORT LAUDERDALE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNUSWAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-772-2136
Mailing Address - Street 1:4725 N FEDERAL HWY
Mailing Address - Street 2:SUITE 401
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33023
Mailing Address - Country:US
Mailing Address - Phone:954-772-2136
Mailing Address - Fax:954-772-7156
Practice Address - Street 1:4725 N FEDERAL HWY.
Practice Address - Street 2:SUITE 401
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:954-772-2136
Practice Address - Fax:954-772-7156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL39467OtherMEDICARE GROUP NUMBER
FL39467OtherMEDICARE GROUP NUMBER